1548519119

Everything you always wanted to know about RMA OF HALLANDALE, LLC DUDLEY JEFF but were afraid to ask.

RMA OF HALLANDALE, LLC DUDLEY JEFF

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Organization Name Authorized Official Last Name Authorized Official First Name
RMA OF HALLANDALE, LLC DUDLEY JEFF
Gender:
none
Enumeration date:
2012-08-29
Last update date:
2013-04-30
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine none none

Phone Numbers

Type Number
Mailing Address Telephone Number 9544585222
Practice Location Address Telephone Number 9544585222
Authorized Official Telephone Number 9543186590
Mailing Address Fax Number 9544589468
Practice Location Address Fax Number 9544589468

Addresses

Type Address City State Postal Country
Mailing Address 1460 E HALLANDALE BEACH BLVD HALLANDALE BEACH FL 33009 FL
Practice Location Address 1460 E HALLANDALE BEACH BLVD HALLANDALE BEACH FL 33009 FL

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